Transcript Highlights:

• The insurance commissioner is charged with administering the workers' compensation insurance plan.
• The insurance code authorizes the commissioner to appoint a plan administrator.
• And they thought it would be broader based on the codes that are out there.
• So dentists that are performing services on children, whether they be these codes or other codes, will
• It does include dental services to all pediatric patients, whatever those dental codes are.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Transcript Highlights:

• Thank you very much, Commissioner.
• Thank you very much, Commissioner.
• One county commissioner from St.
• One county commissioner from St.
• Commissioner Mark Court, uh—Mr.

Keywords: 919, house, all

Summary: The committee took up House File 2437, the governor’s proposed tax bill, and first adopted the A25-Z42 amendment to put the bill in the desired shape. Commissioner Paul Marquardt of the Department of Revenue then presented the bill as part of Governor Walz and Lieutenant Governor Flanagan’s budget, describing it as a response to budget pressures that would make the tax system more fair and stable while supporting economic development and jobs. Marquardt walked through the bill’s major provisions. These included sustainable aviation fuel policy, repeal of K-12 education credit assignment, elimination of the political contribution refund, expansion of the research and development credit, short-line railroad infrastructure modernization, changes to the state airport fund levy, replacement of attachments and appearances with distribution systems, a narrow personal property tax exception for low-income housing tenants, reduced aquatic invasive species aid, and a 34% reduction in PILT payments. He then focused on the sales tax article, saying it would lower the statewide rate by 0.75% while expanding the base to selected professional services such as accounting, banking, brokerage, and legal services, with business-to-business transactions exempt. He said the proposal would be effective for sales and purchases after September 30, 2025, and estimated a first-year rate-cut impact of about $99 million versus $215 million from the service expansion, while arguing that most households would see a net tax cut. He also noted other changes such as landlord penalty adjustments, a 30% reduction in sustainable aviation fuel incentive payments, repeal of local government cannabis aid, and repeal of the tax filing modernization account. Public testimony began with Kyle Playford of the Financial Planning Association of Minnesota, who strongly opposed the proposed sales tax on professional services, especially financial planning. He argued that financial planning is an essential service for retirement, investment, and long-term financial security, and said the tax would raise costs for consumers, reduce access for middle-class families, small business owners, and retirees, and put Minnesota firms at a competitive disadvantage. The chair then indicated that additional public testimony would continue before member questions.

Transcript Highlights:

• We didn't want to totally preempt cities and counties from being able to enforce codes.
• It's like it equally applies to their zoning code, whatever they would make... which says, and this is
• We didn't want to totally preempt cities and counties from being able to enforce codes.
• It's like it equally applies to their zoning code, whatever they would make person. ...their zoning code
• There can't be two separate codes applied.

Bills: SB1290, SB1530, SB1847, HR1050, SB169, SB1377, SB1990, SB1991, SB1778, SB1579, SB1992, SB3, SB2028, SB1928, SB2127, SB2117, SB1439, SB1930, SB330, SB1191, SB2110, SB2134, SB2069, SB2095, SB1613, SB1246, SB1976, SB1346, SB1509, SB2071, SB259, SB1314

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, Medicaid, ADvantage Waiver, home-based services, eligibility criteria, healthcare, senior services, Taiwan, Oklahoma, sister-state relationship

Transcript Highlights:

• and Spa Code, International Residential Code, and National Electrical Code.
• regular codes. regular codes.
• code.
• <01:02:20.480> It's code. It's a more relaxed code. It's code. It's a more relaxed code.
• has commissioner has acting commissioner has commissioner has acting commissioner has asked<04

Keywords: 1189, house, all

Transcript Highlights:

• . code. code.
• <00:19:26.320> will Um and then the commissioner will Um and then the commissioner will compile
• the reporting to the commissioner. Okay. the reporting to the commissioner. Okay.
• I'm the assistant commissioner Baumtrog.
• You want Commissioner Bombtry to come back? >> Sure. I mean, Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• Oh, and Commissioner Lee, I'm sorry. I look one one far too far down.
• Oh, and Commissioner Lee, I'm sorry. I look one one far too far down.
• <00:16:03.279> I Oh, and Commissioner Lee, I'm sorry.
• I Oh, and Commissioner Lee, I'm sorry.
• Well, let's look at certain codes that are in that base and what's going on.

Keywords: Meeting Start 00:00:00 Cabinet for Health and Family Services 00:00:30 Kentucky Department of Education 00:27:10 Education and Labor Cabinet 00:31:35 Auditor of Public Accounts 00:36:55, 958, all

Summary: The committee met for a budget-only discussion with no bills scheduled for a vote. Members first welcomed a group of high school guests, then heard from the Cabinet for Health and Family Services on funding issues for child advocacy centers, domestic violence centers, rape crisis centers, and SNAP. DCBS Commissioner Lisa Dennis and budget director Misty Sammons said the victim-services programs were included in the current baseline budget, but it was too early in the budget process to know final funding levels. They said earlier reports of major cuts were based on a misunderstanding, that conversations with the agencies were ongoing, and that they would provide the committee with the agency’s base-budget information. A member also asked about domestic violence shelter funding, and the cabinet explained that prior one-time money had been used to replace lost federal Victims of Crime Act funds. On SNAP, the cabinet said Kentucky does not expect to need additional money for benefit costs because the payment error rate is about 4%, below the threshold that would trigger added state costs. However, they said the federal HR1 change shifting SNAP administrative costs from a 50/50 state-federal split to 75% state and 25% federal will require additional funding to operate the program. Members praised the eligibility and family support staff for keeping error rates low and asked to be notified quickly if more implementation support is needed. Representative Bojanowski asked whether a specific SNAP administrative cost figure was already in House Bill 500; the cabinet said it was not, and that such an item would be an additional budget request not included in the bill. The committee then heard from the Department for Medicaid Services. Commissioner Lisa Lee and Senior Deputy Commissioner Veronica Judy Cecil described Medicaid fraud-and-abuse monitoring, including a new CMS file and guidance on concurrent enrollment across states. They said DMS refers suspected fraud or abuse to the Attorney General’s office and that the relationship is working well. When asked about using AI, they said the department is not yet using AI but does use internal algorithms to flag potential fraud, waste, and abuse. Finally, Eric Lowry of the Cabinet for Health and Family Services discussed fiscal note processing, saying House Bill 2 is a complex Medicaid bill and that the cabinet is working to set up a meeting with the sponsor; he said the cabinet is responding and hopes to meet on Monday. The committee also briefly heard from the Kentucky Department of Education, where Matt Ross said the existing $7.4 million for school-based mental health services is already in the base budget and that no additional language is needed in House Bill 500 to distribute it, though KDE has requested additional funding to raise the overall appropriation to $18 million.

Transcript Highlights:

• Over here behind me, beside the commissioner, is my team.
• Commissioner, you know... It's Dillard, whether it's Hialeah?
• "Commissioner, let me ask it differently. Sure."
• Chair, and thank you, Commissioner.
• We can probably do a two-step here, both the commissioner and I.

Summary: The Senate Appropriations Committee on Pre-K-12 Education met to hear the governor’s fiscal year 2026-27 budget recommendations for education from the Office of Policy and Budget and the Department of Education. Shelby Salmons and Commissioner Stasi Kamoutsis outlined the governor’s proposed $117.4 billion state budget, including about $32.5 billion for education, with major emphasis on public schools and early learning. The presentation highlighted a $30.6 billion K-12 budget, a $486 million VPK program, continued funding for VPK Summer Bridge, TEACH, HIPPY, and Help Me Grow, as well as increases for teacher pay, base student allocation, mental health, school safety, civics education, and school hardening initiatives. The commissioner also cited a 92.2% statewide graduation rate and Florida’s national rankings in education and education freedom. Senators used the question period to raise concerns about counselor staffing, mental health services, school closures, school choice oversight, the Guardian Program, data reporting, and school capacity. Senator Jones asked about counselor ratios, school closures in historically Black communities, and whether school choice schools are properly monitored for safety and instructional quality. Senator Osgood argued that mental health funding should support more clinical services on campuses, not just academic counselors, and Senator Bradley asked whether the centralized data repository includes scholarship students. Senator Gates praised the civics and debate funding and asked for more detail on the Guardian Program’s performance; the commissioner said 53 of 67 districts participate and described it as a successful safety option with sheriffs approving training. Senators Simon and Osgood also pressed for better use of the FISH report and more accurate space data to understand school capacity and right-sizing. During public testimony, Pinellas County School Board member Laura Hine said her district is an A-rated district with no D or F schools, but spends far more on safety and mental health than it receives in state categorical funding. She said Florida’s mental health staffing ratio is about one counselor per 2,203 students, compared with a recommended one per 1,106, and urged the committee to consider funding full-day VPK statewide, estimating it would cost about $375 million. Committee members followed up on her comments about local flexibility and whether districts can shift funds to meet needs. The meeting ended after members thanked DOE and executive branch staff for the presentation, and the committee adjourned without taking any substantive vote on legislation.

Transcript Highlights:

• I'm commissioner of the Commonwealth Department for Environmental Protection. Thank you.
• >> Thank<00:13:45.200> you,<00:13:45.440> Commissioner.
• the system up to safety code. the system up to safety code. um<00:31:34.399> improve<00:31
• <00:31:57.760> and those facilities up to code and those facilities up to code and improving
• Thank you, Commissioner.

Keywords: 958, all

Summary: The House Budget Review Subcommittee heard testimony from the Energy and Environment Cabinet on the state-owned dam repair program and Kentucky’s electric grid resilience program. On dams, Commissioner Tony Hatton explained the legal definition and hazard classifications for Kentucky dams, noting there are 975 regulated dams statewide, including 76 state-owned dams, and that hazard ratings are based on potential loss of life or property damage if a dam fails. He described the cabinet’s screening criteria, including inundation mapping, engineering condition, and compliance status, and said the cabinet uses a design-bid-build procurement process to manage public funds responsibly. Hatton outlined current and planned dam projects funded from the prior biennium, including Willisburg Lake in Washington County, where work will address hydraulic capacity, unstable downstream slopes, and likely require a coffer dam, flood wall, auxiliary spillway, and raw water line replacement. He also said Big Bone Lake State Park Dam will be decommissioned, Clemens Lake Dam at Morehead State University is in design for a major rehabilitation, and additional projects include Marion County Sportsman’s Dam, Chenoa Lake Creek/Canning Creek Dam, and a rehabilitation study for the Mud River at Lake Malone. The cabinet also requested $500,000 for routine repairs and maintenance. Members questioned cost estimates, inflation, and whether it would be better to fund design separately; cabinet officials said estimates are current best engineering estimates, costs have generally stayed within about 10%, and the current funding flow requires all funds to be available before bidding. The committee then received a status update on the electric grid resilience program, a five-year federal formula grant under Section 40101(d) of the Infrastructure Investment and Jobs Act. Officials said Kentucky has received years one through three of funding, which has been allocated to state park facilities and municipal electric utilities, while years four and five have not yet been received and would go to distribution cooperatives and remaining municipal utilities. Projects discussed included upgrades at Ken Lake State Park and Kentucky Dam Village, plus municipal projects in Owensboro, Princeton, Williamstown, and Hopkinsville. The cabinet said the selected projects focus on hardening infrastructure, replacing poles, wires, conductors, and transformers, improving vegetation management, and adding or upgrading outage management systems. Officials reported that all projects are under contract and moving into subcontracting and construction, while the Department of Parks is finalizing an agreement with Western Kentucky Rural Electric Cooperative for the park-related work.

Transcript Highlights:

• The insurance commissioner is charged with administering the workers' compensation insurance plan.
• The insurance code authorizes the commissioner to appoint a plan administrator.
• And they thought it would be broader based on the codes that are out there.
• or other codes, will receive that rate increase.
• It does include dental services to all pediatric patients, whatever those dental codes are.

Keywords: 1204, all

Transcript Highlights:

• The bill amends the insurance code concerning mine subsidence insurance and potential recovery under
• This bill is an agency bill from the Office of the Insurance Commissioner.
• The bill repeals obsolete code sections and makes technical... ...private market system.
• This bill repeals obsolete and outdated sections of the Education Code.
• The amendment further states... ...to the mandatory requirements that are already in state code.

Keywords: 994, senate, all

Summary: The Senate considered and passed a series of House bills and one constitutional resolution, with several measures receiving title amendments and some taking effect immediately or on a specified date. Early action included moving House Bill 5438, concerning the foundation allowance for instructional programs, to the foot of third-reading bills. House Bill 5441, reforming the state personnel system, was amended with a Judiciary strike-and-insert technical fix, then passed 28-6 and was set to take effect July 1, 2026. House Bill 5462 on mine subsidence insurance passed unanimously, with a title amendment adopted. House Bill 5484, creating felony offenses related to denying medical treatment to sexual offense victims, also passed unanimously with a title amendment. House Bill 5515 modernizing workers’ compensation statutes passed unanimously with a title amendment, and House Bill 5527 establishing licensure and regulation for wellness reimbursement programs passed unanimously. House Bill 5528, protecting personal residential information of certain public officials, passed unanimously with a title amendment. The most extended debate centered on House Bill 5537, an education-related bill that was amended to add a child-protection provision later referred to as “Rayleigh’s law.” The amendment would bar approval of home instruction requests in certain child abuse or neglect cases until the Department of Human Services confirms the investigation is unfounded, closed, or not substantiated, or until 10 days pass without a response. Senators argued the measure was intended to protect children and not target homeschooling. After a point of order, the chair initially ruled the amended language not germane; that ruling was challenged and ultimately overruled by a 24-7 vote, allowing the amendment to remain. The bill then passed 24-7, and a title amendment was adopted. Other measures passed with little or no opposition. House Bill 5582 removed the sunset on the TANF applicant drug-screening program and passed 28-3 after a technical committee amendment. House Bill 5687 reduced the metallurgical coal severance tax over time and adjusted oil and gas tax allocations, passing 31-3. Several supplemental appropriations also passed and were made effective from passage, including funds for Homeland Security/corrections, the Adjutant General, Health, the State Road Fund, and Tourism/Culture and History. The Senate also adopted House Joint Resolution 42, which would place on the ballot a constitutional amendment increasing the homestead exemption from $20,000 to $40,000 and allowing future changes by general law. In second reading, the Senate advanced bills on workforce training reimbursements, aerospace and advanced manufacturing incentives, portable benefit accounts, literacy and science-of-reading training, school aid formula changes, and wedding venue regulation, with amendments adopted on several of them before advancement to third reading.

Transcript Highlights:

• Now, I really want to thank the Commissioner...
• Now, I really want to thank the Commissioner of Agriculture, Commissioner Simpson, for his leadership
• They're going to be full of QR codes.
• Following that QR code... ...5,304 beekeepers. How do I know that?
• Following that QR code... State: $93 million in total revenues.

Summary: The Committee on Agriculture heard two informational presentations before taking up legislation. Tracy Dean of Conservation Florida described the organization’s work protecting wild and working lands, especially ranch and timber lands within the Florida Wildlife Corridor, and argued that agricultural conservation easements are essential to preserving habitat, water resources, family farms, and the corridor itself. Senators discussed how conservation easements can help family operations remain viable across generations, and Dean emphasized strong demand for the Rural and Family Lands Protection Program and Florida Forever funding. Dr. Jamie Ellis of the University of Florida then gave a detailed presentation on honeybees, their role in pollination and Florida agriculture, and major threats such as Varroa mites, queen quality, nutrition issues, hurricanes, and the yellow-legged hornet; senators asked about colony losses, pollination alternatives, and the economic importance of beekeeping in Florida. The committee then considered SB 210 on animal cremation, sponsored by Senator Harrell. The bill was described as a response to a case involving mishandled pet cremation and would require crematories to provide clear disclosures about services, prohibit false or misleading information, and authorize civil penalties enforced by the Department of Agriculture and Consumer Services. The bill was reported favorably after a roll call vote. Next, the committee took up SJR 318, a joint resolution by Chair Truenow creating a proposed ad valorem tax exemption for tangible personal property used in agricultural production or agritourism on agricultural land and owned by the landowner or leaseholder. Several industry and agency representatives appeared in support, and the resolution was also reported favorably by unanimous vote. The meeting concluded with no further business and adjournment motioned by Senator Rouson.

Transcript Highlights:

• In doing so, the task force must consult with the commissioner of housing finance agency, the commissioner
• In doing so, the task force must consult with the commissioner of housing finance agency, the commissioner
• c><00:18:54.160> at<00:18:54.400> the deputy commissioner of insurance at the deputy commissioner
• been brought before the the codes been brought before the the codes adoption<00:45:36.960> process
• code standard in those states. code standard in those states.

Keywords: 919, house, all

Summary: The task force held its first meeting on the insurance affordability crisis affecting single-family housing, common interest communities, and multifamily rental housing. Members and staff introduced themselves, including representatives from insurers, the Department of Commerce, housing advocates, affordable housing developers, and HOA/community association interests. Representative Steve Elkins was elected chair by roll call vote with 10 members in favor, after discussion that the Senate appointee’s formal appointment had not yet arrived; the group noted the intent to later move to co-chair leadership once that appointment is finalized. Staff reviewed the task force’s enabling statute and open meeting law requirements. The task force is charged with studying homeowners and commercial property insurance, property resilience and risk mitigation, liability laws and possible tort reform, notice and oversight issues, public reporting, and the state-supported insurance program, including possible expansion to a catastrophic reinsurance fund or self-insured pool. The final report is due February 15 and will go to the commissioners of commerce, housing finance, and employment and economic development, as well as relevant legislative committees. Members were also briefed on meeting logistics, a draft charter to be voted on at the second meeting, a resource page for shared materials, and the schedule of future meetings. The Department of Commerce then gave an overview of Minnesota’s property and casualty insurance market. Commerce described its regulatory role, the state’s competitiveness test, and how homeowners insurance is often filed under a “file and use” process rather than prior approval. The presentation emphasized that homeowners coverage has been under pressure for years: insurers have lost money in many recent years, premiums have risen, some consumers are taking on more risk through higher deductibles or reduced coverage, and some are moving into the surplus market. Commerce also highlighted the impact of severe weather losses, the growth in premiums since 2014, and gaps in oversight for homeowners associations and related policies. The meeting then shifted to brainstorming the problems the task force should address. Early discussion focused on climate and construction-related resilience, including hail and wind-driven rain damage, discontinued building materials, and whether stronger materials are reflected in insurance pricing. Members also raised the need to study programs like Alabama’s fortified roof model and Minnesota’s own Strengthen Minnesota Homes effort, along with questions about whether the construction industry is prepared to support broader resilience measures. No additional votes were taken during the discussion segment.

Transcript Highlights:

• the commissioner in testimony.
• the commissioner in testimony.
• Thank you, Commissioner Blissenbach.
• Commissioner Blissenbach said she would defer to the commissioner involved in that determination. hear
• department arrives at that commissioner department arrives at that commissioner blissenbach<00:43

Keywords: 1187, senate, all

Transcript Highlights:

• >> Commissioner<00:01:44.320> Lisa<00:01:44.720> Lee >> Commissioner Lisa Lee
• Uh, I assume Commissioner Marks is here. Hello, Commissioner. Thank you.
• of progress, right, Commissioner Marks? of progress, right, Commissioner Marks?
• Commissioner Lee or her designate, Mr. Commissioner Lee or her designate, Mr.
• used the code for two codes for PT, PT used the code for two codes for PT, PT used to<02:04:46.880

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• <00:16:00.720> Blissenbach reassured by Commissioner Blissenbach reassured by Commissioner
• may, we're we're giving the commissioner may, we're we're giving the commissioner her<00:18:15.600
• Um the commissioner may um hold off.
• <01:00:25.040> the language gives the commissioner the language gives the commissioner the
• <01:23:36.400> and the the depart the the commissioner and the the depart the the commissioner

Keywords: 1187, senate, all

Transcript Highlights:

• It's just coded in a different text.
• , and then Commissioner Grown.
• Uh on behalf of Commissioner Services.
• Thank you, Commissioner.
• We appreciate you being Commissioner.

Keywords: 1183, house

Transcript Highlights:

• Stewart, Deputy Commissioner of Operations, and I'll be presenting on behalf of the Commissioner today
• The Commissioner has also been issuing a...
• Deputy Commissioner, thank you very much.
• Commission, and that's going to be Agency Code 410.
• Code 680, please come forward.

Transcript Highlights:

• Commissioner Mr.
• I'm the commissioner for the Department for Medicaid Services. I'm Steve Beckle.
• Yeah, and I appreciate that, Commissioner.
• <00:37:46.160> that<00:37:46.280> we the CPT code that we the CPT code that we apply
• So if the commissioner would, you mind just sort of respond, or Mr.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• which newly elected County Commissioners which newly elected County Commissioners which I was one of
• those County Commissioners I was one of those County Commissioners I was one of those County Commissioners
• that served during County Commissioner that served during County Commissioner that served during his
• uh to further provide for the the code uh to further provide for the the code uh to further provide
• code language the current existing code code language the current existing code code language the current

Keywords: 1136, house, all

Transcript Highlights:

• And like my own county, they always, the commissioners, and I love all my commissioners.
• And like my own county, they always, the commissioners, and I love all my commissioners.
• And like my own county, they always, the commissioners, and I love all my commissioners.
• And like my own county, they always, the commissioners, and I love all my commissioners.
• And like my own county, they always, the commissioners, and I love all my commissioners.

Bills: HF4119, HF3959, HF3792, HF3913, HF3752

Keywords: property tax, renter credits, co-pay, housing affordability, tax relief, homestead, tax refund, Minnesota, tax increase, financial relief, homeowners, AmeriCorps, taxation, individual income tax, living allowances, stipends, national service, tax compliance, revenue, analytics